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Showing posts with the label liver transplant

What is a mentor?

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This is from an invited post I wrote on the Facebook group 'Learning General Surgery'. During my residency at Maulana Azad Medical College, I was initially assigned to the unit of the head of the department, Dr TK Malik. The less said about that part of my residency, the better. However, I did have good second and third year residents from whom I learnt how to look after patients. Halfway through my second year, Dr Malik retired and a new unit was created with two Consultants, Dr  Vinod Malik  and Dr  Ram Kaza . Being the most junior unit at the time, they had the Saturday emergency and were always short of staff. For a considerable period of time, there were no third year PGs, no first year PGs and no regular Senior Residents. There were, however, two second year PGs,  Brundaban Nahak  and me. Dr  Vinod Malik  and Dr  Ram Kaza  were gentle bosses, allowing us to figure out how to keep the day to day running of the unit going, putting up...

The Problem with Outcome Metrics or The VIP Syndrome or Why Bill Clinton is Alive and Steve Jobs is Not.

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A recent debate on using transplant center outcomes to decide accreditation with insurance and reimbursement reminded me of this article I had written on Quora some time ago. Copied and pasted. Upvote 20 Downvote Comments 2 Why Bill Clinton is alive and Steve Jobs is not Vinay Kumaran , Liver Transplant Surgeon Posted Dec 28, 2015  ·  Vinay Kumaran's Posts Transparency, the intention to treat and analysing data. or Why Bill Clinton is alive and Steve Jobs is not . How do you select a surgeon or a Hospital? How, assuming you are sufficiently rich and powerful that you want the "best in the world", do you find the best (or hire the best finder to find the best)? If you need a liver transplant, you can go to a website called  SRTR -- Scientific Registry of Transplant Recipients . At this website, you can look up the mortality, one-year survival, five-year survival, waiting list mortality and other such statis...